Impact the World: Human Health President s Report to the Board of Trustees November 10, 2017

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Impact the World: Human Health President s Report to the Board of Trustees November 10, 2017

Penn State s Vision To be a leader in promoting quality of life through comprehensive approaches to enhancing personalized and population health, achieved through a commitment to and investment in relevant research, education, clinical practice and outreach. Enhancing Health--Strategic Plan

The Current Landscape Rapidly Changing Health Care Provider Systems Competitive Environment for Research Funding New Treatment Options for Cancer and other Diseases Impact of Big Data Focus on Population Health and Personalized Medicine

Where Penn State is positioned today Expenditures for Medical Research 4 th lowest in the Top 25. $229.9M for all Health Related Awards for FY 2017 (includes research, instruction, outreach and service). A widely distributed presence across the Commonwealth, including a Medical Center, College of Medicine and Extension Service. University Health Sciences Council working to integrate expertise across Penn State.

Penn State Health NIH Awards (FY16)

Penn State s Ability to Integrate is a Strength

Huck Institutes of the Life Sciences Provides $15M in support to co-fund faculty, students and research initiatives. 476 faculty members representing 7 colleges and 31 departments. 316 grad students, postdocs and staff. 10 Instrumentation facilities with state-of-the art equipment. 23 Research Institutes and Centers of Excellence: o o Infectious Disease Institute: Targeting emerging infections and evolution of antibiotic resistance. Center for Neural Engineering: New devices for medicine and convergence of Materials & Life Sciences.

Population Research Institute 200+ affiliates, including 70+ research faculty, 40 teaching faculty, postdoctoral scholars, predoctoral trainees and professional staff. Established by Penn State and the NIH. Example: Studying racial/ethnic disparities in the kidney donation and transplant process.

Child Maltreatment Solutions Network 16 faculty and staff, 4 foundational centers, and 10 affiliates building a sustainable network of researchers and practitioners. 21 awarded grants totaling $19M; 9 pending grants totaling $11M; most are transdisciplinary collaborations across 5 colleges. $7.7M award to support a new NIH Capstone Center Example: Penn State s Child Health Study with 1,200 children; designed to detect abusive head trauma in Pediatric ICU settings.

Penn State s Goal is to Impact the World through Human Health. How can we get there?

Our Approach 1. Transform medical education to meet 21 st century needs. 2. Promote collaborations across colleges and campuses. 3. Accelerate the process from discovery to clinical trials. 4. Promote health and wellness across the lifespan.

1. Transform medical education to meet 21 st century needs. Personalizing Medical Education Global Health Experiences Research

Personalizing Medical Education Full curriculum at University Park New longitudinal integrated clerkships York (caring for frail and elderly patients) Summit Health (community health system) Kaiser (care coordination/population health) Joint degree programs MD/PhD, MD/MPH, MD/MBA Coming 2018: MD/MEd Accelerated Programs Family & Community Medicine Emergency Medicine Neurosurgery Orthopedics

College of Medicine: Global Health

Impact of Global Health Experiences ZAMBIA 1 st year medical students participate in HIV and malaria research; in their 4 th year, they care for patients at a mission hospital. Medical students and residents provide care at a rural hospital. TAIWAN GHANA Medical and graduate students research Taiwan s healthcare system and compare it to the US system.

Hershey Medical Center/College of Medicine Research: Two examples from 517 awards: Cross-campus grant on genomics (Computation, Bioinformatics and Statistics) to train scientists to analyze large data sets. 5-year $9.7M project studying peripheral arterial disease. Awards by Sponsor (FY 17) $100.27M 517 awards 5

2. Promote Collaborations Across Colleges and Campuses Active Research and Education Projects Underway in: Agricultural Sciences Arts and Architecture Business Commonwealth Campuses Communications Education Engineering Health and Human Development Information Sciences and Technology Law The Liberal Arts Medicine Nursing Science

Research Projects and Activities that Cross Programs Address human exposure to air toxins in buildings. Teaching doctor-patient communication techniques by incorporating art history and painting practice. Using food science to improve health. Applying social and behavioral neuroscience to manage autism, memory and aging, social anxiety disorder, and health disparities. Develop genetic and cellular strategies for Alzheimer's disease, traumatic brain injury, diabetes, and cardiovascular diseases. Mine patient data to devise personalized medicine treatments. Develop smart drugs/drug delivery strategies.

Substance Abuse, Addiction and Prevention 100+ Penn State researchers and clinicians across 15+ colleges, departments and institutes. A 5-year $21M award funds projects by the Penn State Tobacco Center for Regulatory Science. $1M grant to establish medication-assisted opioid treatment program. Partners: National Institute of Drug Abuse, U.S. Food and Drug Administration, Caron Treatment Center, PA Department of Drug and Alcohol Programs.

Regenerative and Genetic Medicine Restoring organ function is now possible through recent advances in cell biology, genetics, and biomedical engineering. 20 PSU faculty working in stem cell biology, in vivo cell conversion, and CRISPR gene editing. Regenerative and Genetic Medicine

Prevention, Treatment and Cures for Cancer Penn State Cancer Institute is the centerpiece of our interdisciplinary efforts to fight cancer; catalyzing collaborations among cancer researchers across Penn State s colleges and campuses. 2,000+ patients actively participating in more than 200 clinical trials. Application underway to become an NCI-designated cancer center. Named among the 100 Hospitals and Health Systems with Great Oncology Programs by Becker s Hospital Review.

3. Accelerate the process from discovery to clinical trials. Innovation and Entrepreneurship Clinical and Translational Science Institute Technology

Center for Medical Innovation Launched in 2017 to generate economic and social value for Penn State discoveries 47 new medical technologies added to intellectual property database Medical devices Therapeutics Diagnostics Others (IT, apps, medical food) 10 patents 2 start-up companies 3 license agreements

Medical student launches genetics research startup. Olivier Noel was named to Forbes 30 under 30 list in the science industry for his start-up company that facilitates genetics. In MD/PhD Medical Scientist Training Program

Clinical and Translational Science Institute Central infrastructure to catalyze to help build teams, and translate new research findings into tangible health benefits. Awarded a 4-year $20M grant from the NIH to accelerate scientific discoveries into public health improvements Example: fighting cancer: Five years ago researchers developed a compound derived from fish oil that cured leukemia in mice. It s now in clinical studies with leukemia patients.

Enhancing Access through TeleHealth Tele-Stroke (LionNet) 16 hospitals 88% patients remain in community Tele-Derm New acne program Tele-ALS 67 virtual visits / 43 patients Tele-Psych Virtual visits with 16 patients in ED e-icu 56 beds and expanding Chambersburg Hospital (August 2017) Waynesboro Hospital (October 2017) Dr. Zachary Simmons, in a telemedicine consultation with ALS patient

4. Promote Health and Wellness Across the Lifespan A Community Health System College of Nursing Research and Education Across Colleges

Patient Care: The Health Care Provider Landscape From Independents to Groups. Penn State Health is transitioning to a community health system.

College of Nursing Pre-licensure programs are preparing over 1,100 students for nursing careers. Second Degree option provides a 16-month pathway to nursing for 120+ students holding a bachelor s degree in another field. 84 licensed nurses engaged in primary care and acute care programs for nurse practitioners. Hershey Medical Center received the highest national honor for nursing excellence.

Nursing research Enhancing care of the victims of sexual assault and sex trafficking. Supporting family caregivers providing care across complex trajectories of multiple chronic conditions. Preventing the inappropriate use of medications in older adults. Developing an ultra-brief screening tool to identify patients experiencing delirium. Re-designing the delivery of interdisciplinary palliative care to provide timely interventions. Promoting organizational change in complex care delivery systems to improve outcomes.

Health and Human Development Center for Individualized Health Research and Intervention: leverage new technologies (wearable sensors), methods, and data sources (mobile phone apps) to establish, promote and sustain healthy behaviors. Health disparities and vulnerable populations: preventing cancer recurrence; understanding the long-term health consequences of child maltreatment; enhancing healthy aging; and food/water security and the health implications.

The Clearinghouse for Military Family Readiness Translational research to promote the health and wellbeing of military personnel and their families, such as: Air Force Zero Suicide Systems Approach. It s closing the gaps in care systems to decrease suicides.

Summary: Impacting the world through human health Stepping forward as the higher education leader in: Research: Generating knowledge and technology that will drive new advances in population health. Education: Preparing a workforce that is both highly trained and highly adaptable. Service: Partnering with health care professionals to address urgent problems and to promote wellness.

Requirements Engaging partners across the University and beyond to expand biomedical and health sciences at Penn State. Enhance collaboration among College of Medicine, UP Colleges and Commonwealth Campuses. Nurture new strategic priorities centered on health. Partnering with lead donors in A Greater Penn State for 21 st Century Excellence.

Discussion Questions?